CT abdomen and pelvis with contrast at Coshocton Regional Medical Center. CPT 74177.
What Coshocton Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$328cash price (self-pay)
$5,308list price
$328–$5,202range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Care Source | Caresource Medicare | $328 |
| Molina | Molina Medicare | $328 |
| The Health Plan | The Health Plan Medicare Advantage | $328 |
| Traditional Medicare | Traditional Medicare | $328 |
| Tricare | Tricare | $328 |
| UHC | UHC - Vacca | $328 |
| UHC | UHC Medicare | $328 |
| Anthem BCBS | Anthem BCBS Medicare | $328 |
| Med Mutual Of OH | Med Mutual Of OH Medicare | $335 |
| Care Source | Caresource Duals | $338 |
| Buckeye Community Health Plan | Buckeye Health Plan Medicare | $345 |
| Devoted Health | Devoted Health Medicare Advantage | $345 |
| Valor Health Plan | Valor Health Plan | $351 |
| Perennial Advantage | Perennial Advantage | $361 |
| Buckeye Community Health Plan | Buckeye Community Health Plan Ins Exch | $411 |
| Employer Direct Healthcare | Employer Direct Healthcare - Surgery Plus | $460 |
| Care Source | Caresource Exchange | $476 |
| Molina | Molina Exchange | $476 |
| CORVEL | CORVEL Workers Comp | $492 |
| HEALTHSMART | HEALTHSMART Workers Comp | $492 |
| MULTIPLAN | MULTIPLAN Workers Comp | $492 |
| PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA Workers Comp | $492 |
| PROVIDER SELECT | PROVIDER SELECT Workers Comp | $492 |
| THREE RIVERS | THREE RIVERS Workers Comp | $492 |
| Workers Compensation | Workers Compensation | $492 |
| Americas Choice Provider Network | Americas Choice Provider Network (A | $492 |
| Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $518 |
| Care Source | Caresource Medicaid | $518 |
| Standard EAPG Logic | EAPG Logic (Accounts not processed through 3M) | $518 |
| Traditional Medicaid | Traditional Medicaid | $518 |
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